Sometimes I get the impression that just about everybody is pretty disastrously wrong about something, so much so that a layperson like me can't even determine which direction is up. I feel that way about drug abuse epidemics.
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e.g. It's difficult to figure out which addictions are *treatable at all.* Yes, we have talk therapy & medical B&Bs, and for some things we have methadone or suboxone. But which of these work? How often? For whom? For how long? Shouldn't that stuff be central to the discussion?
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We talk a lot about "stigma," but we also talk about "normalizing," and then we skirt around the obvious questions re: whether it's desirable to reduce the stigma on current users if it risks normalizing use. (Which is, ofc, a very big deal if we can't effectively treat addicts.)
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People understand that LSD isn't the same as meth, but they don't necessarily get that 1990s meth may not be functionally equivalent to 2020s meth. And so on. Opioids have been with us for centuries, but the mortality rates we're seeing now are new. We need to zoom way, way out.
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I do actually worry, for example, that broader **public** elite acceptance and utilization of some so-called "hard drugs" — LSD and mushrooms (for insight), ketamine & MDMA (for mental illness), etc. — may have paved the way for broader acceptance of more addictive drugs
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It can simultaneously be true that mushrooms for end-of-life care, MDMA for trauma & ketamine for depression are all brilliant suppressed treatments, AND that street meth and heroin are zombifying and killing the less privileged at an alarming clip
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End of conversation
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personal anecdote: so many people that i was super close to in high school have now passed away from an overdose or drunk driving it’s an epidemic in the town i grew up in... they go to rehab, get out, but then go back really sad
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It's not just "laypeople". Youd be surprised (or maybe you wouldn't) at how skimpy and/or contradictory the evidence often is in healthcare.
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Did I share that Seattle TV news exposé about homelessness and drug addiction? They point to a drug treatment program in Rhode Island that, by their account, was working extremely well.
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